Rusty Long

NPI 1003554817 · on the registry since 2022 · sole proprietor

Practice

Address: 432 S George Nigh Expy
Mcalester, OK 74501
Phone: (918) 423-8060
Fax: (918) 423-8409
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East , Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma